Lee, Gerald
Lee, Gerald is an individual health care provider with primary practice located at 426 Michigan St Ne , Grand Rapids MI 49503-5609. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Gerald can be contacted via phone (616) 267-7888.Contact Information
Primary practice address
426 Michigan St Ne
Grand Rapids MI 49503-5609
Phone: (616) 267-7888
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301053671 | Michigan |
Profile Details
| NPI number | 1265437420 |
|---|---|
| LBN Legal business name | Lee, Gerald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Feb 23rd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265437420 | NPPES |
| Michigan | MEDICAID | 4199651 |
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